Dentist № 3 (54) – 2024, pp. 20-26 SCIENTIFIC PUBLICATION
Pathological tooth resorption in the adult population: conceptual aspects of a clinical protocol
L.N. Dedovaa, N.V. Novakb
aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bMD, PhD, DMSci, Professor, Belarusian State Medical University, Institute of Advanced Training and Retraining of Healthcare Personnel of Educational Institution «Belarusian State Medical University», Minsk, Belarus
https://doi.org/10.32993/dentist.2024.3(54).2
ABSTRACT
The increased number of findings of pathologic tooth resorption in patients who have undergone acute or chronic dental trauma; periodontal tissue diseases; pulp necrosis, as well as in patients undergoing orthodontic treatment necessitates the development of a protocol for dentists-therapists “Diagnosis and treatment of patients (adults) with pathologic tooth resorption” The absence of this protocol makes it difficult to have a unified approach to the diagnosis and treatment of different forms of pathologic tooth resorption.
The aim of the study. To develop a new protocol “Diagnostics and treatment of patients (adult population) with pathologic tooth resorption”.
Objects and methods. To prepare the clinical protocol “Diagnostics and treatment of patients (adult population) with pathological tooth resorption”, a newly developed clinical classification and, in connection with this, targeted diagnostic and treatment methods were used.
Results and discussion. A new clinical protocol of pathological tooth resorption is proposed, which includes its characterization by course, form, depth of lesion, localization on the root surface and prevalence, as well as the main and additional methods of its diagnosis and treatment.
Conclusion. Based on the analysis of our own clinical studies and data from foreign and domestic literature, a new clinical protocol “Diagnostics and treatment of patients (adult population) with pathological tooth resorption” has been proposed, which has achieved good long-term treatment results in 91 % of cases.
Keywords: pathological tooth resorption, protocol, classification, diagnosis, treatment
References
- Dedova L.N., Kandrukevich O.V. Patologicheskaya rezorbciya kornya zuba: klinika, diagnostika, lechenie [Pathological tooth root resorption: clinical picture, diagnosis, treatment]. Stomatolog. Minsk. – Dentist. Minsk. 2016, 4, pp. 60-70.
- Dedova L.N., Novak N.V. Patologicheskaya rezorbciya zuba: teoreticheskie aspekty [Pathological tooth resorption: theoretical aspects]. Minsk. – Dentist. Minsk. 2024, no. 1 (52), pp. 30-39.
- Novak N.V., Lopatin O.A. Etiologiya i patogenez razvitiya patologicheskoj naruzhnoj rezorbcii kornya [Etiology and pathogenesis of the development of pathological external root resorption]. Stomatologicheskij zhurnal. – Dental Journal. 2023, T. XHIV, no. 3, pp. 120-127.
- Lopatin O.A., Novak N.V. Etiologiya i patogenez razvitiya patologicheskoj vnutrennej rezorbcii kornya [Etiology and pathogenesis of the development of pathological internal root resorption]. Stomatologicheskij zhurnal. – Dental Journal. 2023, T. XHIV, no. 3, pp. 145-149.
- Abbott P.V., Lin S. Tooth resorption – Part 2: A clinical classification. Dental Traumatology. 2022, V. 38, pp. 267-285.
- Aidos H., Diogo P., Santos J.M. Root resorption classifications: a narrative review and a clinical aid proposal for routine assessment. Eur Endod J. 2018, V. 3, pp. 134-145.
- Brezniak N. and Wasserstein A. Orthodontitis: The inflammation behind tooth movement and orthodontic root resorption. In: Shroff B (ed) Biology of orthodontic tooth movement: current concepts and applications in orthodontic practice. Switzerland: Springer International Publishing. 2016, pp.67-101.
- Cohen S. Pathways of the pulp, 9th. Elsevier, Mosby. 2006, 636 p.
- Fuss Z. Root resorption – diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003, T. 19(4), pp.175-182.
- Jebril A., Aljamani S., Jarad F. The surgical management of external cervical resorption: a retrospective observational study of treatment outcomes and classifications. J Endod 2020, V. 46, pp. 778-85.
- Matny L.E., Ruparel N.B., Levin M.D., et al. A volumetric assessment of external cervical resorption cases and its correlation to classification, treatment planning, and expected prognosis. J Endod 2020, V. 46, pp. 1052-8.
- Patel S., Saberi N. The ins and outs of root resorption. Br Dent J. 2018, T. 224(9), pp. 691-699.
- Tooth root resorption: etiopathogenesis and classification. MicroMedicine. 2016, T. 4(1), pp. 21-31.
Correspondence to: Е-mail: Dedova.bsmu@mail.ru